Healthcare Provider Details

I. General information

NPI: 1134687874
Provider Name (Legal Business Name): MELISSA FAYE SCHEPP PMHNP-BC, RN BSN,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA FAYE MEIGS RN

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CEDAR ST SPC 130
ALEXANDRIA MN
56308-1483
US

IV. Provider business mailing address

23060 RED ROCK SHORES DR SW
HOFFMAN MN
56339-8115
US

V. Phone/Fax

Practice location:
  • Phone: 701-720-4687
  • Fax:
Mailing address:
  • Phone: 701-720-4687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11790
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2521158
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR40616
License Number StateND
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR40616
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: